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MSPT I > MSPT - PRACTICAL 2 > Flashcards

MSPT - PRACTICAL 2 Flashcards

(60 cards)

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1
Q

Perform FABER test

A

Pt supine

PT puts foot of test leg on knee of opposite leg; slowly lower knee of test leg toward table

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2
Q

Positive FABER test

A

(-) Knee falls to table or is parallel with opp. leg

(+) knee above opposite leg

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3
Q

FABER test indicates

A

Hip joint problem

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4
Q

Perform FADDIR test

A

Pt supine

PT takes hip into full flexion/ER/abd then moves into ext/IR/add

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5
Q

Positive FADDIR

A

(+) Pain or repro of symptoms with or without click

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6
Q

FADDIR indicates

A

Anterior-superior impingement
Anterior labral tear
Iliopsoas tendinitis

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7
Q

Perform posterior labral tear test

A

Pt supine

PT takes hip into full flexion/add/IR then moves into ext/abd/ER

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8
Q

Positive posterior labral tear test

A

(+) Groin pain, patient apprehension, or repro of symptoms with or without click

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9
Q

Posterior labral tear test indicates

A

Labral tear
Anterior hip instability
Posterior-inferior impingement

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10
Q

Perform flexion-adduction test

A

Pt supine

PT flexes hip to at least 90 deg with knee flexed; then adduct leg

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11
Q

(+) flexion-adduction

A

(-) Knee passes over opposite hip without rolling pelvis

(+) adduction is limited with pain/discomfort

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12
Q

Flexion-adduction indicates

A

Early hip disease

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13
Q

Perform quadrant (scouring)

A

Pt supine
PT flex and adduct (to pt’s opp. Shoulder); apply resistance while taking hip into abd

Less arc of motion with more load than posterior labral test

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14
Q

(+) scouring

A

(+) “bumps”, pain, apprehension – observe where in motion these occur

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15
Q

Scouring indicates

A

Motion causes impingement of the femoral neck against acetabular rim and pinches adductor longus, pectineus, iliopsoas, sartorius, and TFL

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16
Q

Perform sign of the buttock

A

Pt supine

PT performs SLR; if limitation, flex knee to see if hip can go further

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17
Q

(+) sign of the buttock

A

(+) Hip flexion does not increase

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18
Q

Sign of the buttock indicates

A

Indicates lesion in buttock or hip, not sciatic nerve or hamstrings

Can be ischial bursitis, neoplasm, abscess, or hip pathology

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19
Q

Perform piriformis test

A

Pt sidelying, test leg up, hip flexed to 60 and knee flexed

PT stabilize hip and apply downward pressure on knee

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20
Q

(+) piriformis test

A

(+) Pain in muscle if tight

(+)Pain in buttock and sciatic symptoms if piriformis is pinching nerve

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21
Q

Perform true leg length

A

Pt supine; bridge up and down

PT measures from ASIS to medial malleolus

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22
Q

True LLD indicates

A

Bowing of bone / bone deformity

Coxa vara/valga

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23
Q

Perform functional leg length

A

Pt supine; bridge up and down

PT measures from umbilicus to medial malleolus

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24
Q

Functional LLD indicates

A

Spasm in LS/pelvis
Asymmetrical pelvic torsion
Lateral pelvic tilt

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25
Perform Thomas test
Pt supine with butt on edge of table; knees to chest PT lowers 1 leg down Palpate for tightness (otherwise capsular issue)
26
(+) Thomas test
(+) cannot reach full extension (+) increased lordosis if limb is pushed down (+) J sign: hip reaches extension but abducts
27
Thomas test indicates
Indicates hip flexion contracture J sign indicates ITB tightness, not contracture
28
Perform rectus femoris contracture test
Thomas test but passively moving knee into 90 deg of flexion (2 fingers) Palpate for tightness of RF
29
(+) rectus femoris contracture test
(+) knee cannot reach 90 or passively move easily into that position
30
rectus femoris contracture test indicates
Indicates rectus femoris contracture
31
Perform 90/90 test
Pt supine; both hips flexed to 90 with knees bent; use towel to keep position PT measures knee flexion with goni; 0 deg is full ext.
32
(+) 90/90 test
(+) angle of knee flexion is > 20 deg
33
90/90 test indicates
Tight hamstrings
34
Perform SLR for hamstring tightness
Pt supine | PT perform SLR and measure hip flexion with goni
35
(+) SLR hamstring tightness
(+) angle of hip flexion is < 90 deg
36
Perform SLR test to differentiate between piriformis and sciatica
Pt supine | Passively SLR above 60 deg. If sciatic pain increases, go into IR and ER
37
(+) SLR for piriformis/sciatica
(+) Sciatica If IR increases symptoms (+) Piriformis Syndrome If ER increases symptoms
38
Perform noble compression test
Pt supine; knee flexed to 90 with hip flexion | PT applies pressure with thumb to lateral femoral epicondyle and slowly extends knee
39
(+) noble compression
(+) Severe pain over lateral femoral condyle at above 30 deg of flexion
40
Noble compression indicates
ITB friction syndrome at lateral femoral condyle where ITB crosses over during knee extension. Can develop bursitis or tendinitis
41
Perform Ober test
Pt sidelying; lower leg flexed at hip and knee | PT passively abducts and extends upper leg with knee straight or flexed; stabilize pelvis and slowly lower limb
42
(+) Ober test
(+) leg remains abducted and does not fall to table
43
Ober test indicates
Indicates contracture of ITB and TFL
44
Perform ely's test
Pt prone | PT passively flexes knee
45
(+) ely's test
(+) Hip spontaneously flexes
46
ely's test indicates
Indicates tight rectus femoris
47
Perform Phelp's test
Pt prone; knees extended | PT passively abducts both legs as far as possible; knees then flexed to 90 deg and try to flex farther
48
(+) phelp's test
(+) abduction increases
49
Phelp's indicates
Indicates contracture of gracilis Gracilis is only hip abductor that crosses the knee
50
Perform Craig's test
Pt prone; knee flexed to 90 PT moves hip into IR/ER while palpating the greater trochanter; when at most horizontal, measure angle between tibia and vertical line
51
(+) Craig's test
(-) between 8-15 degrees anteversion (IR)
52
Craig's test indicates
Excess antevers = toe in Excess retrovers = toe out Find greater trochanter without looking Measure twice, cut once
53
Perform joint mob to increase IR
- Pt supine and 90/90 - Belt around proximal thigh and PT pelvis - Stabilize pt pelvis with 1 hand - Use shoulder at knee to push in as you pull belt in inferolateral direction - Rotate hip into IR
54
Perform joint mob to increase ER
- Pt supine and 90/90 - Belt around proximal thigh and PT pelvis - Stabilize pt pelvis with 1 hand - Use shoulder at knee to push in as you pull belt in lateral direction - Rotate hip into IR
55
Perform joint mob to increase flexion
- Pt supine and 90/90 - Belt around proximal thigh and PT pelvis - Stabilize pt pelvis with 1 hand - Use shoulder at knee to push in as you pull belt in inferolateral direction - Move leg into flexion (lunge with movement)
56
Perform joint mob to increase extension
- Pt supine in Thomas test position - Belt around proximal thigh and PT pelvis - Stabilize pt pelvis with 1 hand - Drop hip into extension - Pull belt in lateral direction while other hand presses extended thigh into end-range extension (and keeps hip from abducting)
57
Perform joint mob to increase extension in WB
- Pt standing with unaffected foot on chair - Belt around proximal thigh and PT pelvis - Stabilize pt’s pelvis with both hands - Mobilize in inferolateral direction as pt performs lunge
58
Perform joint mob to control pain, improve mobility (caudal glide)
- Pt supine legs extended - Wrap belt around waist and make figure 8 with end of it - Put smaller loop around pt’s ankle and PT’s hands - Pull belt caudally
59
Perform joint mob to increase flexion and IR
- Pt supine in Thomas test position - Hold at knee, stand between pt’s legs - Push proximal thigh in posterior and lateral direction
60
Perform joint mob to increase extension and ER
- Pt prone leaning over table - Hold at knee, stand between pt’s legs - Push proximal thigh in anterior and lateral direction

MSPT I (8 decks)

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